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[quote=Anonymous]i agree about the quiet time-if he won't nap that doesn't mean that an adult should be required to entertain him for all waking hours. he needs some time to decompress, and so does your nanny. you're going to have to start out small. i would purchase a visual timer and give him small rewards (i.e. a sticker) for playing appropriately alone for two minutes, five minutes, or whatever is the longest amount of time he will tolerate. you can work up from there until he's playing independently for longer stretches of time (at least 30 minutes). 
if your child is behaving this way, you need to have him evaluated by a professional. you can make changes in his diet and attempt to influence his behavior, but if there is an underlying problem you need the support of therapists, doctors, etc. early intervention is very important and can mean a world of difference to a child when transitioning to kindergarten. 
i'm a special education teacher and was previously a nanny for several children with special needs (chromosomal abnormality/autism/developmental delays). take the right steps and there is a whole community of support out there for you and your son, whatever the outcomes of any assessments may be. it could be a phase-no one knows until these evaluations take place. [/quote]

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